Organization
BABAR ENTERPRISES LLC
Active
Other names
Excel Sports and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN N DAVIDSON (OWNER / AUTHORIZED OFFICIAL)
(616) 356-5000
Entity
Organization
Contact information
Practice address
2982 HIGHWAY K, O FALLON, MO 63368-7861
(636) 978-9235
(636) 978-8299
Mailing address
2454 W CLAY ST, SAINT CHARLES, MO 63301-2548
(636) 916-4625
(636) 916-4628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5233
MO
Other
Enumeration date
07/24/2008
Last updated
04/14/2014
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